Individual
DR. CHRISTY M FOGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DMD
Contact information
Practice address
776 DANIEL ELLIS DRIVE, SUITE 3A, CHARLESTON, SC 29412
(843) 762-2065
(843) 762-7735
Mailing address
PO BX 12290, CHARLESTON, SC 29422-2290
(843) 762-2065
(843) 762-7735
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
SC2406
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ZA9837
—
SC
Enumeration date
02/13/2007
Last updated
07/08/2007
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